JONATHAN SHEDLO
NPI 1013636257
Social Worker in New York, NY
About Jonathan Shedlo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN SHEDLO (NPI 1013636257) is an individual social worker in New York, New York, licensed in New York (117331) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathan Shedlo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Shedlo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11238
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonathan Shedlo's NPI number?
The NPI number for Jonathan Shedlo is 1013636257. It was assigned to this individual provider in the NPPES registry on August 23, 2022.
Where is Jonathan Shedlo located?
Jonathan Shedlo practices at 940 Amsterdam Ave Apt 3, New York, NY 10025. The listed phone number is (443) 695-0617.
What is Jonathan Shedlo's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Jonathan Shedlo enrolled in Medicare?
Yes. Jonathan Shedlo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jonathan Shedlo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Shedlo reassigns Medicare benefits to Equanimity Psychotherapy Lcsw PLLC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Shedlo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jonathan Shedlo was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jonathan Shedlo · NPI 1013636257
Social Worker provider in New York, New York. Individual provider, active in the CMS NPPES registry since August 23, 2022.
## Identity
- **NPI:** 1013636257 (Entity type: Individual)
- **Enumerated:** August 23, 2022
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 117331 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 940 AMSTERDAM AVE APT 3, New York, NY 10025-3091
- **Phone:** (443) 695-0617
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Equanimity Psychotherapy Lcsw PLLC (NPI 1871428268, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1013636257) · Data from the CMS NPPES public registry.